diff --git a/src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisFunctionAppService.cs b/src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisFunctionAppService.cs
index 761c372..8e63474 100644
--- a/src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisFunctionAppService.cs
+++ b/src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisFunctionAppService.cs
@@ -526,7 +526,7 @@ namespace Shentun.Peis.DiagnosisFunctions
                     if (!referenceRanges2.Any())
                     {
                         //未找到，去匹配适用性别为A的
-                        referenceRanges2 = referenceRanges.Where(m => m.ForSexId.ToString() == ForSexFlag.All).ToList();
+                        referenceRanges2 = referenceRanges.Where(m => m.ForSexId == ForSexFlag.All).ToList();
 
                         if (referenceRanges2.Any())
                         {
diff --git a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
index edfe882..88c0deb 100644
--- a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
+++ b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
@@ -291,7 +291,7 @@ namespace Shentun.Peis.PatientRegisters
             if (!string.IsNullOrEmpty(input.Phone))
                 entlist = entlist.Where(m => m.Patient.MobileTelephone == input.Phone || m.Patient.Telephone == input.Phone);
 
-            if (input.SexId != null && input.SexId.ToString() != ForSexFlag.All)
+            if (input.SexId != null && input.SexId != ForSexFlag.All)
                 entlist = entlist.Where(m => m.SexId == input.SexId);
 
             if (!string.IsNullOrEmpty(input.StartDate) && !string.IsNullOrEmpty(input.EndDate))
@@ -1326,7 +1326,7 @@ namespace Shentun.Peis.PatientRegisters
                         #region 检测单位分组的性别是否符合
                         //单位分组信息
 
-                        if (CustomerOrgGroupEnt.ForSexId.ToString() != ForSexFlag.All
+                        if (CustomerOrgGroupEnt.ForSexId != ForSexFlag.All
                             && SexId != null
                             && CustomerOrgGroupEnt.ForSexId != SexId)
                         {
@@ -1744,7 +1744,7 @@ namespace Shentun.Peis.PatientRegisters
                 query = query.Where(m => m.a.PatientName != null && m.a.PatientName.Contains(input.PatientName));
             }
 
-            if (input.SexId != null && input.SexId.ToString() != ForSexFlag.All)
+            if (input.SexId != null && input.SexId != ForSexFlag.All)
             {
                 query = query.Where(m => m.a.SexId == input.SexId);
             }
@@ -1864,7 +1864,7 @@ namespace Shentun.Peis.PatientRegisters
                     var customerOrgGroupEntity = await _customerOrgGroupRepository.FindAsync(m => m.Id == input.CustomerOrgGroupId);
                     if (customerOrgGroupEntity != null)
                     {
-                        if (customerOrgGroupEntity.ForSexId.ToString() != ForSexFlag.All
+                        if (customerOrgGroupEntity.ForSexId != ForSexFlag.All
                             && oldPatientRegisterEntity.SexId != null
                             && customerOrgGroupEntity.ForSexId != oldPatientRegisterEntity.SexId)
                         {
diff --git a/src/Shentun.Peis.Domain.Shared/Enums/ForSexFlag.cs b/src/Shentun.Peis.Domain.Shared/Enums/ForSexFlag.cs
index 3bfd1ce..846afc9 100644
--- a/src/Shentun.Peis.Domain.Shared/Enums/ForSexFlag.cs
+++ b/src/Shentun.Peis.Domain.Shared/Enums/ForSexFlag.cs
@@ -14,16 +14,16 @@ namespace Shentun.Peis.Enums
         /// 男
         /// </summary>
         [Description("男")]
-        public const string Male = "M";
+        public const char Male = 'M';
         /// <summary>
         /// 女
         /// </summary>
         [Description("女")]
-        public const string Female = "F";
+        public const char Female = 'F';
         /// <summary>
         /// 全部
         /// </summary>
         [Description("全部")]
-        public const string All = "A";
+        public const char All = 'A';
     }
 }
diff --git a/src/Shentun.Peis.Domain/AsbitemGuides/AsbitemGuideManager.cs b/src/Shentun.Peis.Domain/AsbitemGuides/AsbitemGuideManager.cs
index ff5a274..67be699 100644
--- a/src/Shentun.Peis.Domain/AsbitemGuides/AsbitemGuideManager.cs
+++ b/src/Shentun.Peis.Domain/AsbitemGuides/AsbitemGuideManager.cs
@@ -33,7 +33,7 @@ namespace Shentun.Peis.AsbitemGuides
             if (SexFlag.UnKnown == SexId.ToString())
             {
                 //判断是否为未知、未知去找适用性别为全部的
-                entlist = entlist.Where(m => m.ForSexId.ToString() == ForSexFlag.All).ToList();
+                entlist = entlist.Where(m => m.ForSexId == ForSexFlag.All).ToList();
             }
             else
             {
@@ -41,7 +41,7 @@ namespace Shentun.Peis.AsbitemGuides
                 if (!entlist.Any())
                 {
                     //找不到直接匹配的 去找全部的匹配数据
-                    entlist = entlist.Where(m => m.ForSexId.ToString() == ForSexFlag.All).ToList();
+                    entlist = entlist.Where(m => m.ForSexId == ForSexFlag.All).ToList();
                 }
             }
 
diff --git a/src/Shentun.Peis.Domain/Diagnosises/DiagnosisManager.cs b/src/Shentun.Peis.Domain/Diagnosises/DiagnosisManager.cs
index 683fd8e..d65b51e 100644
--- a/src/Shentun.Peis.Domain/Diagnosises/DiagnosisManager.cs
+++ b/src/Shentun.Peis.Domain/Diagnosises/DiagnosisManager.cs
@@ -1,4 +1,5 @@
-using Shentun.Peis.HelperDto;
+using Shentun.Peis.Enums;
+using Shentun.Peis.HelperDto;
 using Shentun.Peis.Models;
 using Shentun.Utilities;
 using System;
@@ -118,6 +119,23 @@ namespace Shentun.Peis.Diagnosises
 
         }
 
+        private void Verify(Diagnosis entity)
+        {
+            DataHelper.CheckEntityIsNull(entity);
+            DataHelper.CheckStringIsNull(entity.DisplayName, "名称");
+            DataHelper.CheckGuidIsDefaultValue(entity.ItemTypeId, "项目类别");
+
+            DataHelper.CheckCharIsYOrN(entity.IsIll, "是否疾病");
+            DataHelper.CheckCharIsYOrN(entity.IsSummaryTemplate, "是否总检模板");
+            if (entity.ForSexId != ForSexFlag.Male && entity.ForSexId != ForSexFlag.Female && entity.ForSexId != ForSexFlag.All)
+            {
+                throw new ArgumentOutOfRangeException("适用性别参数不正确");
+            }
+            if (entity.DiagnosisLevelId < 0 || entity.DiagnosisLevelId > 10)
+            {
+                throw new ArgumentOutOfRangeException("诊断级别参数不正确");
+            }
 
+        }
     }
 }
diff --git a/src/Shentun.Peis.EntityFrameworkCore/SumSummaryReports/SumSummaryReportRepository.cs b/src/Shentun.Peis.EntityFrameworkCore/SumSummaryReports/SumSummaryReportRepository.cs
index dbea40f..a626a64 100644
--- a/src/Shentun.Peis.EntityFrameworkCore/SumSummaryReports/SumSummaryReportRepository.cs
+++ b/src/Shentun.Peis.EntityFrameworkCore/SumSummaryReports/SumSummaryReportRepository.cs
@@ -86,7 +86,7 @@ namespace Shentun.Peis.SumSummaryReports
                     //数字型
                     if (SexId != null && Age != null)
                     {
-                        ReferenceRangeList = ReferenceRangeList.Where(m => (m.ForSexId == SexId || m.ForSexId.ToString() == ForSexFlag.All)
+                        ReferenceRangeList = ReferenceRangeList.Where(m => (m.ForSexId == SexId || m.ForSexId == ForSexFlag.All)
                         && m.AgeLowerLimit <= Age && m.AgeUpperLimit >= Age).ToList();  //查询性别跟年龄（性别增加全部）
 
                         msg = ReferenceRangeList.Any() ? ReferenceRangeList.First().ReferenceRangeValue : "";